体表定位头皮电针治疗脑梗死失语症的临床研究

Clinical observation of scalp electroacupuncture of body surface location on the treatment of aphasia after cerebral infarction

目的观察体表定位头皮电针治疗脑梗死失语症的临床疗效。方法将80例脑梗死失语症患者随机分为2组,对照组40例予常规体针针刺治疗,治疗组40例在对照组治疗基础上应用体表定位头皮电针治疗。2组同时配合言语训练。2组均每日治疗1次,14次为1个疗程,共治疗2个疗程。观察2组治疗前后中国康复研究中心汉语标准失语症检查表(CRRCAE)评分、日常生活能力量表(ADL)评分变化,比较2组疗效。结果 2组治疗后听理解、复述、说、朗读、阅读5项CRRCAE评分及ADL评分均较本组治疗前提高(P<0.05);治疗组治疗后各项评分均高于对照组(P<0.05)。治疗组总有效率95.0%,对照组80.0%,2组总有效率比较差异有统计学意义(P<0.05),治疗组疗效优于对照组。结论体表定位头皮电针治疗能明显改善脑梗死失语症患者的语言功能,提高日常生活能力。

Objective To observe the clinical effects of scalp electroacupuncture of body surface location on the treatment of aphasia after cerebral infarction. Methods 80 patients with aphasia after cerebral infarction were randomly divided into two groups. 40 cases in control group were treated by routine body acupuncture therapy, and 40 cases in treatment group were treated by scalp electroacupuncture of body surface location on the bases of control group treatment, all patients were received language practice, daily one time. A treatment course was 14 times that continuously treatment for two courses. The Chinese Rehabilitation Research Centers Chinese Standard Aphasia Examination （CRRCAE） and ability of daily living （ ADL） before and after treatment were observed in two groups, and the curative effect was compared. Results The CRRCAE scores of comprehension, retell, speak, read aloud and reading and the scores of ADL after treatment were increased （P 〈0. 05） , and the increase in treatment group was higher than that in control group （ P 〈 0. 05 ）. The total effective rate in treatment group （ 95. 0% ） was superior to that in control group （ 80. 0% , P 〈 0. 05 ） . Conclusion Scalp electroacupuncture of body surface location has exact effect on aphasia after cerebral infarction, can effectively improve language function and quality of life.